Vadlamani Laxmi Naresh, Sharma Virinchi, Emani Amala, Gowda Mahesh R
Columbus Hospital, Hyderabad, Telangana, India.
Spandana Hospital, Bangalore, Karnataka, India.
Indian J Psychol Med. 2020 Nov 1;42(5 Suppl):27S-33S. doi: 10.1177/0253717620960694. eCollection 2020 Oct.
The utilization of telemedicine and telepsychiatry (TP) services in the outpatient department (OPD) has been increasing in recent years. The information about the technological, administrative, and clinical challenges is being addressed by the telemedicine and TP guidelines published by several individual nations. TP aims to address the treatment gaps, barriers for utilization, accessibility, diagnostic validity, financial implications, and individual client preferences. Utilization of TP in the OPD varies from country to country depending upon their healthcare delivery systems. It also varies in populations utilizing the TP services-urban, rural, child and adolescent, geriatric, and differently abled. TP services in the OPDs are being incorporated differentially by government organizations, insurance recognized psychiatric healthcare organizations, private psychiatric group practice deliverers, and individual, standalone psychiatric healthcare deliverers. TP may not replace the traditional in-person consultations completely. Covid-19 pandemic has hastened its utilization across several healthcare delivery systems. Healthcare organizations, clinicians, other healthcare deliverers, and end users are in the process of adapting to the new scenario. Incorporation of the big data, machine learning, artificial intelligence, virtual reality, and other technological advances in the psychiatric healthcare delivery systems into TP services in the OPDs would significantly contribute to the overall quality and efficacy of the psychiatric healthcare delivery systems in the future.
近年来,门诊部门对远程医疗和远程精神病学(TP)服务的利用一直在增加。几个国家发布的远程医疗和TP指南正在解决有关技术、管理和临床挑战的信息。TP旨在解决治疗差距、利用障碍、可及性、诊断有效性、财务影响以及个体客户偏好等问题。门诊部门对TP的利用因国家而异,这取决于其医疗服务提供系统。在使用TP服务的人群中——城市、农村、儿童和青少年、老年人以及残疾人群体,其利用情况也有所不同。门诊部门的TP服务由政府组织、保险认可的精神科医疗保健组织、私人精神科团体执业提供者以及个体独立精神科医疗保健提供者以不同方式纳入。TP可能无法完全取代传统的面对面咨询。新冠疫情加速了其在多个医疗服务提供系统中的使用。医疗保健组织、临床医生、其他医疗服务提供者和最终用户正在适应新情况。将大数据、机器学习、人工智能、虚拟现实和精神科医疗服务提供系统中的其他技术进步纳入门诊部门的TP服务,将对未来精神科医疗服务提供系统的整体质量和疗效做出重大贡献。